Individual
ANDREW THOMPSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2139 W PROSPECT RD, ASHTABULA, OH 44004-6439
(440) 998-7505
(440) 998-6222
Mailing address
2261 BROWN RD, JEFFERSON, OH 44047-8443
(440) 344-6839
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-04377
OH
Other
Enumeration date
08/20/2018
Last updated
08/20/2018
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